Division of Petroleum & Chemical Safety

Facility: 3017404 Tank: 1

Capacity:	10000
Product:	Gasoline
Status:	Abandoned in place
Regulated Status	Federal
OSFM First Notify Date:	4/10/1986
Current Age:	46
Install Date:	1/1/1980
Last Used Date:	1/21/2014
Product Date:	1/1/1980
Petroleum Use:
CERCLA Substance:	UNKNOWN
CAS Code:
Removed Date:
Abandoned Material:	Inert material mixed with portland cement
Abandoned Date:	8/13/2014
Red Tag Issue Date:
Fee Due:	$0.00
UL Number

Equipment Type	Equipment	Last Passing Test Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Lining Materials Internal	1/22/2009	Not applicable
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/24/2013	Not applicable
Leak Detect - Piping	Sump Sensor	9/24/2013	Not applicable
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	No passing test found	No passing test found
Overfill Prev Device	Overfill Drop Tube Valve	No passing test found	No passing test found
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	No passing test found	No passing test found
Tank	Steel Single Wall	Not applicable	Not applicable

Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.

No Compatibility Forms Listed

Equipment Type	Equipment	Test Type	Test Result	Test Date	History
Leak Detect - Piping	Non-Discriminating Sump Sensor	Sensor Functional	Pass	5/25/2010	Show History